| NPI | 1427574565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11152) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-11-28 |